Lesson Plan Essay Example | Topics and Well Written Essays - 250 words - 1

Exercise Plan - Essay Example That understudy composes another pair of antonyms and passes the paper to the following individual, and they prop it up around their gathering until the two minutes are up. The objective is for each gathering to list the same number of antonyms as they can. Urge understudies to help each other in the event that anybody in the gathering is experiencing issues thinking about a couple of words. Have each gathering perused their rundown out loud. Let the class choose whether the words in each pair have inverse implications. 3. Give every understudy a clear Antonym Matching Game Board (appended). Have understudies think about any five antonym combines and keep in touch with single word in each case, making a coordinating game. Understudies can cut the words separated, lay the cards face down, and flip them more than, two at once, to attempt to discover a match that are antonyms. Think of certain words on the board and request that the understudies distinguish them. The understudies are to state what antonyms they can act. Split the understudies into gatherings of three or four. Each individual from each gathering to compose a couple of antonyms on a bit of paper, and collaboration is supported. Understudies to be given a clear antonym coordinating game board and match the antonyms. Gift a worksheet to the understudies containing fill-in sentences on the left finish of the paper, just as a rundown of words on the extreme right side which will fill in as antonyms for the fill-in sentences. After accommodation, the understudies will be instructed on the best way to make sense of the right for each question on the

Steps to Christ

Many, particularly the individuals who are youthful in the Christian life, are now and again bothered with the recommendations of suspicion. There are in the Bible numerous things which they can't clarify, or even comprehend, and Satan utilizes these to shake their confidence in the Scriptures as a divine revelation. They ask, â€Å"How will I know the correct way? In the event that the Bible is for sure the expression of God, how might I be liberated from these questions and perplexities? † God never requests that we accept, without giving adequate proof whereupon to base our faith.His presence, His character, the honesty of His assertion, are completely settled by declaration that interests to our explanation; and this declaration is inexhaustible. However God has never expelled the chance of uncertainty. Our confidence must settle upon proof, not exhibition. The individuals who wish to uncertainty will have opportunity; while the individuals who truly want to realize realit y will discover a lot of proof on which to rest their confidence. It is incomprehensible for limited personalities completely to appreciate the character or crafted by the Infinite One.To the quickest keenness, the most exceptionally instructed mind, that sacred Being must ever stay dressed in riddle. â€Å"Canst thou via looking through discover God? canst thou discover the Almighty unto flawlessness? It is as high as paradise; what canst thou do? more profound than damnation; what canst thou know? † Job 11:7, 8. 106 The missionary Paul shouts, â€Å"O the profundity of the wealth both of the intelligence and information on God! how unsearchable are His decisions, and His ways past discovering! † Romans 11:33.But however â€Å"clouds and haziness are indirect Him,† â€Å"righteousness and judgment are the establishment of His seat. † Psalm 97:2, R. V. We can so far appreciate His dealings with us, and the thought processes by which He is incited, that we may recognize unlimited love and benevolence joined to unending force. We can comprehend as quite a bit of His motivations all things considered for our great to know; and past this we should in any case trust the hand that is supreme, the heart that is brimming with adoration. The expression of God, similar to the character of its awesome Author, presents secrets cap can never be completely grasped by limited creatures. The passage of transgression into the world, the manifestation of Christ, recovery, the restoration, and numerous different subjects introduced in the Bible, are secrets unreasonably profound for the human brain to clarify, or even completely to grasp. Yet, we have no motivation to question God's statement since we can't comprehend the riddles of His provision. In the common world we are continually encircled with secrets that we can't fathom.The humblest types of life present an issue that the smartest of rationalists is frail to clarify. Wherever are ponders past our ken. Would it be advisable for us to then be shocked to find that in the otherworldly world likewise there are puzzles that we can't comprehend? The trouble lies exclusively in the shortcoming and limitation of the human psyche. God has given us in the Scriptures adequate proof of their heavenly character, and we are not to 107 uncertainty His assertion since we can't see all the puzzles of His providence.The witness Peter says that there are in Scripture â€Å"things difficult to be comprehended, which they that are unlearned and temperamental wrest . . . unto their own pulverization. † 2 Peter 3:16. The troubles of Scripture have been asked by doubters as a contention against the Bible; yet so distant from this, they establish a solid proof of its celestial motivation. On the off chance that it contained no record of God yet that which we could without much of a stretch appreciate; in the event that His significance and greatness could be gotten a handle on by limited personalities, at that point the Bible would not manage the indisputable certifications of awesome authority.The very magnificence and secret of the subjects introduced ought to move confidence in it as the expression of God. The Bible unfurls truth with a straightforwardness and an ideal adjustment to the necessities and longings of the human heart, that has surprised and enchanted the most exceptionally developed personalities, while it empowers the humblest and uncultured to observe the method of salvation. But then these essentially expressed certainties lay hold upon subjects so raised, so sweeping, so endlessly past the intensity of human understanding, that we can acknowledge them simply because God has pronounced them.Thus the arrangement of reclamation is exposed to us, so every spirit may see the means he is to take in atonement toward God and confidence toward our Lord Jesus Christ, so as to be spared in God's selected manner; yet underneath these facts, so effectively co mprehended, lie puzzles that are the covering up of His gloryâ€mysteries that overwhelm the psyche in its examination, yet move the earnest searcher for truth with respect and confidence. The more 108 he look through the Bible, the more profound is his conviction that it is the expression of the living God, and human explanation retires from greatness of perfect revelation.To recognize that we can't completely fathom the extraordinary certainties of the Bible is just to concede that the limited psyche is insufficient to get a handle on the unending; that man, with his constrained, human information, can't comprehend the reasons for Omniscience. Since they can't comprehend every one of its riddles, the doubter and the heathen reject God's assertion; and not all who affirm to accept the Bible are liberated from peril on this point. The messenger says, â€Å"Take notice, brethren, in case there be in any of you a shrewd heart of unbelief, in leaving from the living God. Jews 3:12. It is on the right track to concentrate intently the lessons of the Bible and to look into â€Å"the profound things of God† so far as they are uncovered in Scripture. 1 Corinthians 2:10. While â€Å"the mystery things have a place unto the Lord our God,† â€Å"those things which are uncovered have a place unto us. † Deuteronomy 29:29. Be that as it may, it is Satan's work to debase the analytical forces of the psyche. A specific pride is blended with the thought of Bible truth, so men feel anxious and crushed in the event that they can't clarify each part of Scripture to their satisfaction.It is excessively mortifying to them to recognize that they don't comprehend the roused words. They are reluctant to stand by persistently until God will want to uncover reality to them. They feel that their independent human astuteness is adequate to empower them to understand the Scripture, and neglecting to do this, they for all intents and purposes deny its power. The fac ts demonstrate that numerous speculations and conventions prominently expected to be gotten from the Bible have no establishment in its educating, and to be sure are 109 in opposition to the entire tenor of inspiration.These things have been a reason for uncertainty and perplexity to numerous personalities. They are not, be that as it may, chargeable to God's promise, however to man's corruption of it. On the off chance that it were feasible for made creatures to accomplish a full comprehension of God and His works, at that point, having arrived at this point, there would be for them no further disclosure of truth, no development in information, no further improvement of brain or heart. God would never again be preeminent; and man, having arrived at the constraint of information and fulfillment, would stop to advance.Let us express gratitude toward God that it isn't so. God is unending; in Him are â€Å"all the fortunes of shrewdness and information. † Colossians 2:3. Also, t o all time everlasting men might be ever looking, ever learning, but then never exhaust the fortunes of His knowledge, His integrity, and His influence. God expects that even in this life the facts of His assertion will be ever unfurling to His kin. There is just a single manner by which this information can be acquired. We can accomplish a comprehension of God's statement just through the brightening of that Spirit by which the word was given. The things of God knoweth no man, yet the Spirit of God;† â€Å"for the Spirit searcheth all things, yea, the profound things of God. † 1 Corinthians 2:11, 10. What's more, the Savior's guarantee to His supporters was, â€Å"When He, the Spirit of truth, is come, He will control you into all fact. . . . For He will get of Mine, and will show it unto you. † John 16:13, 14. God wants man to practice his thinking powers; and the investigation of the Bible will reinforce and hoist the brain as no other examination can. However we are to be careful 110 of idolizing reason, which is dependent upon the shortcoming and sickness of humanity.If we would not have the Scriptures blurred to our seeing, so the plainest certainties will not be grasped, we should have the effortlessness and confidence of a little youngster, prepared to learn, and imploring the guide of the Holy Spirit. A feeling of the force and shrewdness of God, and of our failure to fathom His significance, ought to motivate us with lowliness, and we should open His assertion, as we would enter His quality, with sacred amazement. At the point when we go to the Bible, reason must recognize a position better than itself, and heart and mind must bow to the incomparable I AM.There are numerous things evidently troublesome or cloud, which God will make straightforward to the individuals who therefore look for a comprehension of them. Be that as it may, without the direction of the Holy Spirit we will be constantly obligated to wrest the Scriptures or to misconstrue them. There is a lot of perusing of the Bible that is without benefit and much of the time a positive injury. At the point when the expression of God is opened without veneration and without petition; when the contemplations and expressions of love are not fixed upon God, or in congruity with His will, the brain is obfuscated with questions; and in the very investigation of the Bible, suspicion strengthens.The foe assumes responsibility for the considerations, and he recommends translations that are not right. At whatever point men are not in word and deed looking to be in congruity with God, at that point, anyway learned they might be, they are at risk to blunder in their comprehension of Scripture, and it isn't protected to trust to their clarifications. The individuals who look to the Scriptures to discover errors, have not profound 111 understanding. With mutilated vision they will see numerous reasons for uncertainty and unbelief in things that are truly easy. Ca mouflage it as they may, the genuine reason for uncertainty and wariness, in most case

Comptuer Network Design Example

Comptuer Network Design Example Comptuer Network Design â€" Assignment Example > (UNIVERSITY)IntroductionComputer networking is the communication of two or more computers that are in a network. This process is very important as it enables the computers that are in the network share resources such as printers, files or data. We have several types of computer networks depending on the criterion adapted to classify them. They can be grouped according to the following characteristics; Classification By ScaleIn this classification they can be categorised according to the geographical area they cover. They can be classified as Local Area Network (LAN), Metropolitan Area Network (MAN) or Wide area network (WAN). In a LAN network it involves communication of computers within a small geographical area. This can comprise of the kind of network that is done at a home or an office to enables the computers to share resources such as printers, files or games. www. ethernet. intelligent. infoIn a MAN network it covers a much bigger area such as communication of computers wit hin a town or between one town and another one. This network is common in campuses to enhance a good communication of the various university campuses to facilitate good administrations, as they can be able to share the necessary resources among the campuses present. WAN network involves communication within a large geographical area. This communication can be either between one country and another one or it can be between continents. Connection MethodsThe networks can also be grouped according to the method adapted to enable communication within the network. In this classification they can be grouped into two classes that is wired network or wireless network depending on whether the network uses wires to allow communication in the network such as in the case of wired network or it uses electromagnetic spectrum to allow communication as in the case of wireless network. (Ronald J. 1998)Network TopologyThis is the classification according to the way the computers are designed to comm unicate with each other. The topology can vary as the following; the topology used can be a star, bus or ring topology. All these types of topology require different designing requirements and posses’ different merits and demerits. Functional RelationshipComputers in a network can have one of these relations. Pear-to-pear relation, in this relation instruction flows from one computer to the next in a network. In this method a failure of one computer will cut down the communication between the other computers in the network. Client-server relation, communication here is controlled by the server which determines the information to be shared and restricts the one that is sensitive to the organisation from been shared within the network. In this relationship a failure of one computer in the network will not affect the communications of the computers, as the server is the one that controls the communication of all the computers in the network. Types of ProtocolsComputers in a network can use the following protocols to enable them communicate. These are OSI or IP/IPT. Types of Hardware used in designing a network

RENT a Car Business plan Essay example - 1652 Words

Car Rental Business plan Excecutive Summary Company and Financing Summary Products and Services Overview Strategic Analysis with current research! Marketing Plan Personnel Plan 3 Year Advanced Financial Plan Expanded Financial Plan with Monthly Financials FREE 30 Page Sample Private Placement Memorandum FREE PowerPoint Presentation for Banks, Investors, or Grant Companies! 1.0 Executive Summary The purpose of this business plan is to raise $300,000 for the development of a car rental agency while showcasing the expected financials and operations over the next three years. The Car Rental Agency Inc. (â€Å"the Company†) is a New York based corporation that will provide the rental of economy, standard, and luxury†¦show more content†¦3.2 Insurance Fees and Ancillary Services In addition to daily charges made to vehicle renters, the Company will earn secondary streams of revenue from the sale of additional insurance. This is an important secondary steam of revenue for the business as sales of additional car insurance will generate substantial gross margins for the Car Rental Agency. Additionally, the Company will charge substantial fees to customers that do not return the vehicles with full gas tanks. Approximately 25% of the Company’s aggregate revenues will come from the sale of insurance and gas fees. 4.0 Strategic and Market Analysis 4.1 Economic Outlook This section of the analysis will detail the economic climate, the car rental industry, the customer profile, and the competition that the business will face as it progresses through its business operations. Currently, the economic market condition in the United States is in recession. This slowdown in the economy has also greatly impacted real estate sales, which has halted to historical lows. Many economists expect that this recession will continue until mid-2009, at which point the economy will begin a prolonged recovery period. However, Car Rental Agencies typically operate with a strong degree of economic stability as business travelers will continue to need vehicles for their business trip needs. 4.2 Industry Analysis Within the United States, there are more than 5,000 companies (that operate one or more locations)Show MoreRelatedCase Study : Stellios And The Easy Corporation1705 Words   |  7 Pagesin the airline business and went that prove successful he created The EasyCar.com Company which started an internet based way to rent a car, customers could log into an account and reserve a car without having to ever deal with a sales person. Their corporation used a quite different approach than did their competitors where The EasyCar.com Company used a single type of car and no other types of cars to choose from. 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Nevertheless, I have narrowed down a list of companies in at Kennedy Airport who offer affordable rental rates on excellent vehicles, as well as stellar customer service. So, renting a car at the Kennedy Airport in New York doesn t have to be a challenge, or time consuming. With these companies you can find a really niceRead MoreA Business Model For A Big Corporation837 Words   |  4 PagesIndeed, the sharing economy known as collaborative consumption. It is a trending concept that highlights the skills for individuals to rent or borrow the goods as compared to purchase them. Without a doubt we can say that 2013 is a sharing economy year. (Forbes, 2013) The concept of the sharing economy is following below: Accommodation sharing: Airbnb has not only opened the doors for the alternative way in the perspective of travel, but it has forced cities to follow-up their housing codes andRead MoreExecutive Summary : Our Company Tnt Auto Sales Inc.1362 Words   |  6 PagesI. Executive Summary: Our company TNT Auto Sales Inc. implements a new approach to used car sales. It only begins with the quality and reliability of the cars we sell. Considering the professionalism and customer service experience of the founders, along with the financial training and background, the company is looking forward to flourishing business and ever growing loyal clientele base. The owner, Teneille Norville, has several years of personal experience with buying and selling used vehiclesRead MoreMobile Technology1614 Words   |  7 PagesRental Car Companies By Aubrey A Maloney IS535 –Managerial Applications of Information Technology DeVry University OCT 8, 2010 Abstract Mobile technology and applications are the future of business. With this technology it will make it easier to automate a business such as a rental company and help cut costs. With almost every phone created theses days being Smartphone/PDA and application ready, it will quickly be a more convenient way for the customer that rent cars to be checkedRead MoreCan The Sharing Economy Market Be Disruptive? The Traditional Economy?1371 Words   |  6 PagesIntroduction A sharing economy, is when owners utilize digital clearinghouses to capitalize the unused capacity of things they already have, and consumers rent from their peers rather than rent or buy from a company (Geron, 2013). Consumers today can share or offer resources like cars, room rentals, dog sitting and skills to people that require their services for low cost. Companies today, like Airbnb and Uber are capitalizing off â€Å"The Share Economy† market by providing services based of theRead MoreThe Best Choice for Martha ´s Money Essay726 Words   |  3 Pagesmake different plans to spend the money, but her mother and father were thinking how she will spend the money without given her any advice until she asks for it. However the best way for her is to save the money or invest it somewhere rather than buy a used car, rent an apartment, stay at home without working, or go to trip to Hawaii. Firstly, we should consider if buying a used car is best option. Then she can go to school faster, visit her friends and travel as well, but the car needs gas whichRead MoreEnterprise Holdings And Corporate Social Responsibility1263 Words   |  6 PagesEnterprise Holdings started as a car leasing business in the basement of a St. Louis dealership in 1957 with Jack Taylor as its founder. Enterprise prides itself on exceeding the customers’ expectations by building relationships one step and promise at a time. Enterprise Holdings task itself in the common mission to be the best transportation service provider in the world. To exceed customer expectation for service, quality, value, to provide employees with a great place to work and to serve the

Kill A Mockingbird By Harper Lee - 1274 Words

Brandi Ortiz English IV McCraw 2/24/15 Harper Lee: The One Hit Wonder â€Å"Mockingbirds don’t do one thing but make music for us to enjoy. They don’t eat up people’s gardens, don’t nest in corncribs, they don’t do one thing but sing their hearts out for us. That’s why it’s a sin to kill a mockingbird† (Lee. 72) Many teens all over the world have read or heard this iconic quote, whether by force because it was in the schools curriculum or for my fellow book worms it is a great novel to just lose yourself in. To Kill a Mockingbird, winner of the prestigious Pulitzer Prize and several other literary awards was written by Harper Lee in nineteen sixty. Famed author Nelle Harper Lee was born on the twenty-eighth of April, nineteen twenty-six in†¦show more content†¦Lee was a daughter to an ill mother and Truman living with family friends after being abandoned by his own parents. It is believed by The Telegraph journal that Lee’s past helped influence her growing interest in English Literature. To help feed her cultivating lust with such literature, after Lee graduated in 1944, she went to the all-female Huntingdon College in Montgomery. It is said that Lee â€Å"stood apart from the other students.† (Biography.com) Rather than caring about fashion or dating, Lee focused on her studies and her own personal writing. Throughout Lee’s college career, in Montgomery, she was a member of the literary honor society. After transferring to the University of Alabama at Tuscaloosa, Lee was characterized to be â€Å"a loner and an individualist.† (Biography.com) Using her new title as motivation, Lee pursued her interest in writing by contributing to the school’s newspaper and also a humor magazine, the Rammer Jammer, which she later became the editor of. Sadly after Lee was accepted into the university’s law school she was forced, if one may say, to leave her post as editor of the Rammer Jammer. After much soul seeking and countless heart-to-heart co nversations with her family, Lee dropped all interest in law and moved to New York City to follow her dream to become a writer. In nineteen forty-nine, a twenty-three year old Harper Lee arrived in New York City where she worked for the British Overseas Air

The Financial Detective Free Essays

PAPER: We believe that Company I represents the Smaller Producer of printing papers and Company J represents the World’s Largest Market of Paper. Being the world’s largest paper maker indicates having a larger inventory, more current assets (esp. since it owns timberland and several facilities), and higher cost of goods sold than other paper makers. We will write a custom essay sample on The Financial Detective or any similar topic only for you Order Now The inventory for Company J (10. 9) is larger than the inventory for Company I (8. 8); the current assets for Company J (32. 6) are higher than that for Company I (27. 2); and the cost of goods sold for Company J (82. 9) is higher than that for Company I (75. ). We also expect that, as the world’s largest paper maker, their products will move on the marketplace better than a smaller producer of paper. Thus, Inventory Turnover should also be higher. Here, Company J (7. 11) has a larger inventory turnover than Company I (6. 75). Receivables turnover, which tells how many times accounts receivables have been collected in a given period, should be higher for the world’s largest paper company than it would be for a small producer of specialty paper. Company J’s (11. 64) receivables turnover is higher than that for Company I (8. 68). The facts also state that the world’s largest maker of paper has been rationalizing capacity by closing inefficient mills, implementing cost-containment initiatives, and selling nonessential assets. This implies that the company would have a larger asset turnover ratio than other paper companies. Company J (1. 20) has a larger asset turnover ratio than Company I (. 73). It is probable that since the small producer of paper has most of its product marketed under branded labels, that it would have a higher value of Intangibles, such as trademarks, than the larger company. Here, Company I (14. 6) has an intangibles value that is significantly higher than Company J’s (1. 9) intangible value. Based on the above analysis, we believe that Company I is the small producer of printing, writing and technical specialty papers, and that Company J is the world’s largest maker of paper, paperboard, and packaging. RETAIL: From the financial ratios and the notes attached, it is apparent that Company N is the rapidly growing chain of upscale discount stores while Company M is the firm known for its low prices, breadth of merchandise and volume riented strategy. ASSETS Receivables: Company M has lower receivables of 1. 4 compared to company N with 17. 0 and this reason is to the fact that company N offers credit to qualified customer as a means of marketing strategy. Inventories: Company M has higher inventories of 24. 5 compared to company N with 16. 7 and this reason it attributed to the strategy company M adopts. Company M has a wide breadth of mercha ndise and volume oriented strategy amount to this high inventories on the balance sheet. Intangibles: There is a 93. 3% difference compared to company N with low intangibles. This reason is due to the operational strategy company M adopts. Company M possesses either or all of these following; Goodwill, Partnership rights or Patent rights. Analyzing the information provided accurately, one or more of the of the aforementioned rights exit because for company M to sell some products at very low prices, there must be an existing kind of memorandum of understanding between the producers and company M. LIABILITIES EQUITY Deferred Taxes: Company M has deferred Taxes of 3. with company N having O. From the information of company M provided, it is possible that the deferred tax is an evidence of capital gains that might have risen from the proceeds of divestments of several non-discount department-store businesses. Debt in Current Liabilities: Company M is 75. 4% high than company N’ s Debt Current Liabilities. This can be as a result of the lease contract entered by company M. Depending on the lease agreement; Company M might have an overdue payment for the lease for a period within a year. INCOME STATEMENT Depreciation: It is understandable why company N has a high depreciation than company M and this is due to the reason that M is a lease copy therefore no depreciation is paid for leasing except a rental payment. There is an exception when the lease is a finance lease. Net Income: Company N strategies pay off because shareholders of any company want to maximize their investment or returns. Company N is making almost double of company M’s net profit, and also considering the fact that company N is making 85% of company M sales. MARKET DATA Beta: Companies in the same industries usually have different betas, one of the reasons this can happen is the kind of financing or debt equity ratio. The higher the debt equity ratio the higher the beta: this shows why company N has a higher beta compared to company M that has a lower debt equity ratio. Dividend Payout: Company M has a higher payout ratio of 31. 12%. Reason why company N might have a low payout ratio can be attributed to investment in future projects with positive NPV due to the rapidly growing chain of upscale discount stores. ASSET MANAGEMENT Receivables Turnover: This shows the degree of realization in accounts receivables. Company N has a lower turnover rate, a lower rate implies that receivables are being held longer and the less likely they are to be collected. Also there is an opportunity cost of tying up funds in receivables for a long period of time. Company M is 29 times higher than company N. From the above analysis, it is obvious that financial ratios of companies in same industries can never be the same but can only be similar. The kind of strategy and technology a company adopts tells a lot about differences in financial ratios. COMPUTERS: We believe that Company E is the company focused exclusively on mail-order sales and Company F is the company that sells a highly differentiable line of products. In this industry one company focuses exclusively on mail-order sales of built-to-order PCs, including desktops, laptops, and notebooks. Besides the company allows its customers to design, price and purchase through its web site. In contrast the other company has a retail strategy intended to drive traffic through its stores. With regards to the SGA expense, as well as depreciation, we can assume that the company resulting with the highest values is of course the one having more stores compared to the one conducting most of its transactions on an online basis. In this case the high value of 23. 1 in selling, general and administrative expense and the high value of 1. 8 in depreciation belonging to company F fit the description of the company with more retail stores. Another important financial data confirming this finding is the intangible data. From the Exhibit 1, the company E has a value of 0 in intangibles which is not surprising due to its business orientation. Company E is an assembler of PC components manufactured by its suppliers, therefore not having any claim of ownership of intangibles. On the other hand, the intangible value of 1. 2 of company F is due to the fact that company F has a variety of proprietary software products. In addition, the price to book ratio is lower for Company F (5. 3) than for Company E (17. 46). This is in line with our analysis because the facts state that the retail store has a declining market share, so the lower price to book ration would match the description for a company with a lower market share. Based on our analysis above, we believe that company E is the company focusing exclusively on mail-order sales of built-to-order PCs, and company F is the company having an aggressive retail strategy intended to drive traffic through its stores. NEWSPAPERS: We believe that company P is the diversified media company that generates most of its revenues through newspapers sold around the country and around the world and that Company O is the firm that owns a number of newspapers in relatively small communities throughout the Midwest and southwest. We believe this because Company P has a larger amount of current assets (other and total) and net fixed assets than CompanyO. Company P operates in not just the United States but it also operates in countries all around the world, which it means it will have a lot of assets than Company O. FINANCIAL STATEMENT ANALYSIS ASSETS RECEIVABLES:Company P is higher than Company O and this can be attributed to the fact that company P has an international presence. This will result to a huge customer base compared to Company O. higher customer base would yield more credit sales. result to its revenues all over the world in the sense that it will have a lot of customers and there can be delays in monetary transactions. Since its business has international presence it can adopt a business strategy of offering a high volume of credit sales to customers. INVENTORIES: The two companies are at par have the same ratios. This means that there is an equal amount of goods and services available in the stock of both companies. INTANGIBLES: Company O has a higher intangibles value than company P because although company O is a smaller company it has acquired a Customer good will, employee morale, increased bureaucracy, and aesthetic appeal than company P which is a more diversified media company. DEBT MANAGEMENT TOTAL DEBT/TOTAL ASSET:Company P has a higher ratio compared to O. Most of company’s total debt are short term financed and this is to say that in the next period, the company can have a lower total debt to total asset ratio compared to company O. Based on this current standing it shows that 26. 81% of company’s P asset is financed by debt. INCOME/EXPENSES NETINCOME: Company O is almost likely to succeed more than company P in its operations because of its decentralized decision making and administration. Looking closely at the net income figure of both companies, company O net income is higher than company P net income. EBIT AND NET PROFIT MARGIN: Company O has a higher EBIT because the company is more profitable than company P. Company P has a lower net profit margin value than company O which indicates a low margin of safety, higher risk, and that a decline in sales will erase profits and result in a net loss. Company O is better in this aspect because of the adopted business of decentralized decision making and administration, which led to better success in its operations. MARKET DATA DIVIDEND PAYOUT: Company O has a higher ratio than company P which means it has a higher percentage of earnings paid to its shareholders in dividends. The shareholders of company O are benefiting better from the company than the shareholders of company P are. The reason for this could be that company P may be trying to invest in a project that is preventing it from paying shareholders adequate dividends BETA: Company P has a higher value which means a higher expected return of a stock or portfolio which is correlated to the return of the financial market as a whole than company O. PRICE/EARNING RATIO: Company O has a higher ratio than P. Over the years smaller firms have performed better in terms of returns. Shareholders of company O are willing to pay more for the shares today in anticipation of great prospects of returns in the future. ASSET MANAGEMENT RECEIVABLES TURNOVER: Company O has a higher turnover value because it has a higher number of number of times that account receivables are collected during in a period than company P. LIQUIDITY CURRENT RATIO AND QUICK RATIO: Company O has a better and higher value of the two ratios than company P so it means that company O has more current assets and cash equivalents to cover its liabilitie when due than company P. Based on our analysis above, we believe that company P is the diversified media company that generates most of its revenues through newspapers sold around the country and around the world and that Company O is the firm that owns a number of newspapers in relatively small communities throughout the Midwest and Southwest How to cite The Financial Detective, Papers

Documentation Helps To Generate Evidence â€Myassignmenthelp.Com

Question: Disuses About The Documentation Helps To Generate Evidence? Answer: Introduction The purpose of the essay is to reflect on the aspect of my learning, that I have learned as registered nurse. I am planning to use this knowledge in my nursing practice, wherever I will be placed in future. The core of the critical refection process is the reflective practice, while focusing on observation and documentation helps to generate evidence (Fook, 2016). The essay uses critical reflection framework for the reflection on the personal experience in nursing profession. To integrate research, theory and practice, it is the good opportunity to use critical reflective process. Week 5 learning was focused on the culture, health, and care for older adults. Reflection Older adults aging involve the concept of social, cultural and historical processes. Australia being multi cultural nation, different perspectives have emerged for the aging population (Keddie, 2014). The health care providers should respect the beliefs, preferences and values of the patient to ensure the patient centered care. Reflecting on my nursing experience in aged care, I have witnessed a situation where a male older client was in confused state as a result of dementia. The client has decreased mobility and was using wheelchair. Thus, he had increased risk of fall. When I met this client he was restless on not able to find the lavatory. He was agitated on frequent occasions and had troubled speaking. I saw him calling for help from a nurse, who moved towards him slowly, She said, How may I help you?. The client was stammering and all he could say was, I nee...I need to go to thaa. The nurse instead of trying to identify what went wrong assigned him to another nurse and walked out. It could be the sign of incontinence and other nurse soon initiated his assessment. I can relate this with another incident where the fellow nurse demonstrated unsuccessful cultural competence, which is however essential in addressing the disparities in the health care (McClimens et al., 2014). She was assigned to care for a Arab patient.The nurse was scared to attend him, as the religious beliefs of the patient were completely different from the nurse. It was wrong to be judgemental as the 89-year-old patient was in need of emotional support. The nurse was not passionate in being open or flexible with the client. She was not curious to know about his culture. These are the good opportunities to refine the communication skills and to create and purposefully create cultural encounters (Hanson, 2014). I have noticed in on incident that a nurse would attend the aged client only for medication, therapy and two meals in the dining room. When confronted she told me that she finds not hing in common with the senior client and do not know how to talk. This action demands for change in attitude else the old patients will feel disrespected. I realised upon reflection that that there is a need of increased understanding of the dementia care for my future practice. It will help me to identify and attend to people in confused state and address their concern immediately. Older people demonstrating the signs of falls or cognitive impairment are at the risk of functional decline. It is essential to prevent this by identifying and responding to the needs (Di Napoli et al., 2013). For my future practice, I am planning to develop the cross-cultural skills and gain cultural knowledge. According to Bozorgzad et al. (2016), knowing the health beliefs of the patient by obtaining the cultural knowledge will aid in gaining their worldview. For instance, Muslims prefers to maintain the dietary standard by eating food that would be preferred by their family members. Muslim patients tend to prefer carers of same sex or gender. Thus, without knowing the cross cultural skills, it will be difficult to maintain the dignity of the patients. I have realised that I need to interact more with the seniors, as they were once young too. It will help me learn their ageistic view I would too become old one day and would not expect nurses to interact with me only for medication. If would be the old patient, I would expect patient centered care. Therefore, I would like to change personal perspective towards the older adults. Ageing people have variety of lived experiences such as grief, bereavement, trauma, separation from children, financial insecurity, and burden of illness and others. They should be treated like our own parents. They may suffer from loneliness and need a help to reconstruct their thoughts (Bacsu et al., 2012). Conclusion In conclusion, effective communication is essential for older care. It is the fundamental principle for high quality care. Lack of cultural competence, knowledge on the aged care standards and poor perspective of aging may hamper the nursing practice. The reflective practice was helpful in identifying areas of improvement supported with evidence. References Bacsu, J. R., Jeffery, B., Johnson, S., Martz, D., Novik, N., Abonyi, S. (2012). Healthy aging in place: Supporting rural seniors health needs. Online Journal of Rural Nursing and Health Care, 12(2), 77-87. Bozorgzad, P., Negarandeh, R., Raiesifar, A., Poortaghi, S. (2016). Cultural Safety: An Evolutionary Concept Analysis. Holistic Nursing Practice, 30(1), 33. Di Napoli, E. A., Breland, G. L., Allen, R. S. (2013). Staff knowledge and perceptions of sexuality and dementia of older adults in nursing homes.Journal of Aging and Health,25(7), 1087-1105. Fook, J. (2016). Finding Fundamental Meaning through Critical Reflection.Practising Spirituality: Reflections on Mean-making in Personal and Professional Contexts, 17. Hanson, R. M. (2014). 'Is elderly care affected by nurse attitudes?'A systematic review.British Journal of Nursing,23(4). Keddie, A. (2014). Australian multicultural policy: Social cohesion through a political conception of autonomy.Journal of sociology,50(4), 408-421. McClimens, A., Brewster, J., Lewis, R. (2014). Recognising and respecting patients cultural diversity. Nursing Standard, 28(28), 45-52.

The American Way of Death Process Analysis in Writing

Rothaermel Exercise 1 Essay Essay Example

Rothaermel Exercise 1 Essay Essay Example Rothaermel Exercise 1 Essay Essay Rothaermel Exercise 1 Essay Essay GROUP CASE STUDY 1 INSTRUCTIONS Complete a instance survey of ABC Corporation ( your teacher will delegate the specific company for the instance survey at the beginning of Module/Week 3 ) in the instance subdivision of the text ( e. g. Case Number 1 ) . A formal. in-depth instance survey analysis requires you to use the full strategic direction procedure. Assume your group is a confer withing squad asked by the ABC Corporation to analyse its external/internal environment and do strategic recommendations. You must include exhibits to back up your analysis and recommendations. The instance survey must include these constituents: 10–12 pages of text plus the exhibitsCover page ( must include the company name. your group name. a list of the active squad members and the day of the month of entry. and a mentions page ; the papers must follow current APA guidelines )Matrixs. which must be exhibits/attachments in the appendix and non portion of the organic structure of the analysis ( The Strategy Club has first-class templates/examples for exhibits and matrices: hypertext transfer protocol: //strategyclub. com/free-student-template/ ) Case survey deliverables ( text must follow this order with APA degree headers for each constituent ) : Executive SummaryExisting mission. aims. and schemesA new mission statement ( include the figure of the constituent in parenthesis before turn toing that constituent ) Great mission statements address these nine constituents:Customers: Who are the firm’s clients?Merchandises or services: What are the firm’s major merchandises or services?Markets: Geographically. where does the house compete?Technology: Is the house technologically current?Concern for endurance. growing. and profitableness: Is the house committed to growing and fiscal soundness?Doctrine: What are the basic beliefs. values. aspirations. and ethical precedences of the house?Self-concept: What is the firm’s typical competency or major competitory advantage?Concern for public image: Is the steadfast responsive to societal. community. and environmental concerns?Concern for employees: Are employees a valuable plus of the house?Analysis of the firm’s bing concern theoretical account SWOT Analysis ( comes from researching the house. industry. and rivals ) It is of import to cognize the difference between causes and effects in the SWOT analysis. Causes are of import. non effects. Once the SWOT Analysis is created. each group needs to build the SWOT Bivariate Strategy Matrix. Deliverables for this subdivision include: SWOT AnalysisInternal Factor Evaluation ( IFE ) MatrixExternal Factor Evaluation ( EFE ) MatrixSWOT Bivariate Strategy MatrixBCG Matrix ( follow the Strategy Club’s templet. non the textbook’s format )Competitive forces. Competitive Profile Matrix ( CPM ) . and competitor’s ratios Deliverables for this subdivision include:Competitive forces analysisCPM and analysisCompetitor’s ratios and analyisCurrent and historical Financial Statements ( Income Statement ( I/S ) . Balance Sheet ( B/S ) and Statement of Cash Flows ) from the three most current old ages for the house The fiscal statements must include alterations ( deltas ) between old ages. Ratios from the most current and available three old ages with deltas and analysisAlternate schemes ( giving advantages and options for each )Pro-Forma Financial Statements ( I/S. B/S and Statement of Cash Flows ) with deltas out three old ages and analysis Each twelvemonth must hold two columns: one with your scheme and one without your scheme. Include Pro-Forma ratios for the first twelvemonth out with deltas contrasting from the most current year’s ratios.Net Present Value analysis of proposed strategy’s new hard currency flow and EPS/EBIT analysis Note: To build the first hard currency flow ( cf1 ) at the really minimal. the new gross from your scheme ( s ) must be discounted back to the present value by ciphering EBIT and that figure will be your cfn for each twelvemonth. cf0 ( initial cost of your scheme ) . cf1 ( discounted hard currency flow foremost twelvemonth ) . R ( chance cost of capital. the rate of the following best alternate usage of cash/debt/equity resources ) . NPV=-?cf?_0+ ?cf?_1/ ( 1+r ) ^1 +?cf?_2/ ( 1+r ) ^2 +?cf?_3/ ( 1+r ) ^3 †¦?cf?_n/ ( 1+r ) ^nSpecific recommended scheme and long term aimsExplain why you chose the scheme. and discourse how much the scheme will be to implement and how much new gross your scheme will make. Include your action timetable docket for carry throughing your scheme. Proposed new concern theoretical accountHave your group leader topographic point the consequences of the instance survey analysis in a individual papers and station it to the Group Case Study 1 forum on your Group Discussion Board. Late assignments will non be accepted. Submit this assignment by 11:59 autopsy ( ET ) on Sunday of Module/Week 4.

Charlie Chaplin's The Kid Movie Review Example | Topics and Well Written Essays - 500 words

Charlie Chaplin's The Kid - Movie Review Example . When viewers from a wider spectrum of society appreciate a film that celebrates cross-dressing, this indicates not only that the film has an intrinsic emotional appeal, but that the general audience is ripe for the message of sexual variation and tolerance. The transformation is not at all simple or one-sided, though, and what makes the film emotionally affecting is the very fact that the main character maintains conflicting impulses, creating real tension within a single character. Even when the setting is changed, Chaplin is there under fake pretenses, and the comic elements of the film arise from his mistaken interpretations of social issues. I understand a unique nature of the main character and his universal wisdom based on personal philosophy and life experience. Chaplin carries the film in a number of senses, for it is not just her face, his words, and his gestures that enrapture us; all the dramatic conflict of the plot also takes place within the character. It is possible to assume that "heaven" is a "better life" and a society free from social uinequalities and hardship. By association with a unique personality, the star will take on the exceptional attributes of honesty, courage, intelligence, passion, religious fervor, purity.

HRM Of Bloomberg.Com Case Study Example | Topics and Well Written Essays - 5000 words

HRM Of Bloomberg.Com - Case Study Example In spite of such diversity, a large proportion of work in the manufacturing industries too relates services. (Hoque 1999b). While human resources management as a concept attracted a lot of attention as a "more effective and productive approach to managing organizations' key assets, its people", there have been differences of opinion as to whether it is industrial relations management-personnel management (IR & PR) freshly packaged or a totally different discipline "aimed at integrating the management of people into overall business strategy and organizational goals" (Poole, 1990; Salamon, 1987; Storey, 1995b cited in Mc Gunnigle 2000). Three models of HRM have been suggested: normative" (prescriptive of an ideal approach); "descriptive" (identifying developments and practice in the field); and "conceptual" (a model for classification). (Storey 1992 cited in Mc Gunnigle 2000). In the normative model HRM has a "team development" orientation, a "significant role for line managers" and s eeks to develop an "organizational culture". The conceptual model differs widely from IR-PR with as many as 27 differences listed. All researchers however agree that employee commitment is not only the dominant aspect of HRM but that it is the main differentiator between HRM and IR-PR. (Storey 1992 and Guest 1995 cited in Mc Gunnigle 2000). The objective of human resource m... 'Stretch', in this context refers to additional productivity, effective contributions and taking part in continuing improvement processes. The net effect of this would be self-motivated employees, less need for supervision necessitating fewer levels of management and reduced overheads. In addition when organisations achieve a congruence of perceived interests with employees, they are less likely to be viewed with suspicion when they undertake any changes necessary to meet environmental needs. Workforce in such organizations will be willing to swap roles (multi-tasking) that help them in more effective utilisation of labour. (Guest 1987 and Beer et al., 1985 cited in Hoque 1999a, 8) The most compelling reason for carefully crafting human resources management practices in services industries, is that in the service industries, the customer is not only a recipient of the service but also a part of the service process. This is the reason why there has been a shift in human resource management practices with service firms pursuing strategies that feature greater customer orientation. There is an increased awareness in the service firms that it is critical to obtain customer-oriented behaviours from their employees, a decided shift from the past. In order to achieve these outcomes, service firms are utilizing their human resource practices to "stimulate and reinforce behaviours needed for the successful implementation of greater customer-oriented strategies." HRM practices such as design, staffing, performance appraisal, compensation and training and development are shaped by organisational conditions, such as strategy, organisational life cycle stage, technological change, unionisation, internal labour markets and whether or not

Singapore Airlines: Business, Marketing and Operations

Singapore Airlines: Business, Marketing and Operations This paper study is based on Singapore Airlines (SIA), in this case study the project has discuss about the SIAs Business, Marketing and operational strategy, what are the changes is the SIAs facing in future, how this airline company has changed its strategy and how this airline from a small country-state with a population of about three million people, on an island no larger than the Isle of Man, earn a reputation for being the most constant money-making airline in the world, in spite of the various world-wide recessions. The paper study also discuss about, how the Singapore Airline retained employees and the customers. QUESTION 1: Evaluate SIAs Business, Marketing and Operational Strategies and assess their effectiveness in relation to the competition? Over the last decade Singapore Airline has grown from a local airline into one of the worlds leading passenger and cargo carriers. In an attempt to survive, many of the organization which is working in the same business tried to observe and investigate the approaches or strategy which are using by Singapore Airlines (SIA, 2007). Finally it became clear and understandable that SIA are more competitive because of its business and operations strategy. The long term growth of a business design to provide and maintain shareholder value is called the business strategy. So, this part of the paper contains the business, market and operation strategy of Singapore Airlines. As we all know the SIAs has developed a status for being an industry innovator as well as doing things in a different way than its competitors who are in the same industry line, for example, As the study says SIA was the first airline to introduce free drinks, a choice of meals and free headsets back in the 1970s. Not only this, the Singapore airlines are the first who start a two year programme to install Kris World, that is a new in-flight entertainment scheme, for passengers in all three classes of its Megatop B747s. KrisWorld provides around 22 channels of video entertainment, around twelve digital audio channels, around ten Nintendo video games (Nintendo was best known for console industry and famous for home video game), and always alert the destination information and provides a telephone at each seat. By using this innovative ideas and creativity techniques the SIAs has done wonder in this airline business and earn a reputation for being the most consistent money-making airli ne in the world. Not only this, SIAs has done many changes in the history of airline and they provide numerous innovative ideas and doing things differently than its competitors. SIAs is the one who spend lot of millions in order to install KrisWorld movies; by doing this they had given an amazing entertainment to their customers while traveling and this lead to make them a different from their competitors and by adding this KrisWorld they are the first one to do so and this types of strategy help them a lot in becoming a number one in these business. SIA is the first in the market for discoverer and performer of the mostly innovative live teletext news service (KrisNews) and also for an interactive in-flight shopping service for its aircrafts. These creative and innovative developments by SIA, eventually won numerous awards for the best air lines. SIA was the first airline which bought a collection of finest chefs from all over the world to serve best in-flight cooking for its passengers as well as it was the first airline which tried to accomplish the wants of individual passengers by launch the special meal service with lighter and better options plus the unique in-flight meal service which is specially introduced for young flyers and enabled them to choose their desired meals up to 24 hours before the flight departure. Besides that, SIA started to update its menus monthly and even weekly to create an impression among its frequent travelers and also to keep track of flyers tastes. These were the main line of attack for SIA to compete among its competitors in the market and also to shore up its business strategy1. The main success of SIAs is Singapores Changi airport, Changi is situated in eastern end of the Singapore. Changi airport is one of the world busiest airport QUESTION 2: Using change management models evaluate how the company has changed; in strategic terms. QUESTION 3: What challenges is SIA facing in the future. What should SIAs business and operations strategies be for the future and why? Provide justification for your recommendations. As we know that SIAs is the one of the leading airport in the world but due to the large number of competitors in the world. SIAs have to maintain their top ranking in the future by maintaining their operations and business strategy and by developing more innovative ideas. The challenges which a SIA facing in future is mainly due to their competitors, as we all know in airline business the profit is very less and its mainly because of growing airline industry, passengers have many choices to select the low fare flight, so they must provide the better facility in a lower price that may affect their capital turnover. Recession is also the one of the factor for affecting then in future. Like in recession, there is a reduction in number of fliers. In future there is my advance airplanes/crew because of the competition and so the availability of the best crew is very important. There are more challenges that airline industry is facing like escalating costs and stiff competitions. As this part of the paper contains that which type of business as well as operations strategies should SIAs makes for their future and which makes them different from there competitors. Before going to this we must know about the operations strategy, operations strategy is the total guide of decision made the management which leads to the long-term growth for any type of operations, it is the long term process. Basically operations strategy is the method or tools that help us producing goods and services to the consumers. Operations basically deal with the producing or delivering of goods. This paper study discuss the competitive strategies of Porter, In 1980s Porter has argued that there is two types of competitive advantages which can be shared with either a broad or narrow competitive scope to create four well known business strategies: 2 Cost leadership, Differentiation, Focused low-cost, and Focused differentiation The Porters four competitive strategies are shown in table below:- Competitive Advantage Lower Cost Differentiation Cost leadership Differentiation à ¯Ã†â€™Ã… ¸ broad target Low cost focused Focused differentiation à ¯Ã†â€™Ã… ¸ narrow target Cost leadership technique or strategy is normally used by the companies for generally generating the profit even though the low price of the product or the services offered. In this strategy company mainly focused on the decreasing of price and retaining their old customer and generating the new one, so by applying this rule to the airline business SIAs have to take some initiative for lowing there prices in spite of that providing the full facility to their passengers. By doing this the SIA is always be a head from its competitor in present as well in future because doing this the high, medium and even low class passenger get attractive towards it and SIAs will make even more profit than earlier. Differentiation strategy, in this strategy a companys offers a service that consumers perceived it as a different and ready to pay a high amount or cost for that. So, SAI have to innovate some new facilities like new entertainment programs while travelling and some advance technology features with some extra cost, and it must be different as well as a new thing for passengers so that they are ready to pay a high amount for it. Or do offering the old facilities but offered it in that manner that passengers are ready to pay a high amount. This type of innovation or creativity make them different from there competitor and good for future also. Focus Differentiation strategy focus on a narrow sector and within that sector, they are attempting to achieve either a price advantage or differentiation. The principle is that the sector which is focusing must be better served by entirely focusing on it. So, SIAs must use this strategy for be a top in their business by focusing in a small small sector and offered better services to the passengers and then they will definitely be a head in the airline business. Reflection on Career Goals: Becoming an Ophthalmologist Reflection on Career Goals: Becoming an Ophthalmologist 1. Please provide evidence of activities and achievements which demonstrate your commitment to a career in this specialty and/or which have led to the development of skills relevant to a career in this specialty.(250 words) My inspiration for becoming an ophthalmologist stemmed from working in DARUL-HIKMAT DARUL-SHIFA, a charity eye hospital in Pakistan, which I have attended biannually since first year in medical school. There I observed how a small procedure brings a remarkable improvement in the quality of a patients life. Out of my own interest, I undertook 2 ophthalmology electives. I was privileged to observe practice on an incredible elective at MOORFIELDS EYE HOSPITAL. It was a great experience and further motivated me to become ophthalmologist. I achieved Distinction in Ophthalmology during my MBBS. As a Foundation year doctor, I regularly attended eye clinics and theatres in my free time. I did a week of a TASTER SESSION and managed to arrange a SPECIAL MODULE in ophthalmology during my GP rotation. I have made several international presentations and have published in peer reviewed journals. I have excellent hand to eye coordination and dexterity. I am competent in Objective Subjective Refraction. The combination of medicine and surgery, along with the variety of cerebral and fine motor skills necessary has drawn me to the specialty. It is the only specialty that has satisfied me to practice medicine at the highest level. Sight is the most valued of senses for many people, and to be in a position to improve and restore sight, as well as prevent eye disease, gives me great pleasure. I am a dedicated, hardworking, and energetic person. In addition, I have passed RCO exams and my experience in ENT, neurosurgery, diabetics and oncology make me a great candidate. 2. Please provide details of outstanding achievements outside the field of medicine. (250 words) I have regularly arranged clinical courses for the junior doctors and GP since 2008. The courses consist of â€Å"ECG interpretation day† â€Å"Pain Management Course† â€Å"Eye ENT day†. This involves a great deal of organizational and managerial skills. This has also given me experience of developing a successful business plans and dealing with the finances, which will be very beneficial for me, in the future, to set up new services in the NHS. Following additional demand, I have setup a company with a name of AR MEDICS to organise courses more widely. We won the first prize of  £5000 in South Asian Federation (SAF) Quiz competition, 2004. As Sports Coordinator at Medical College, I reformed the Sports Society and wrote its new rules and regulations. For the first time in its 25 year history, I arranged sports fixtures with other universities and introduced new sports. This improved college sports reputation remarkably. I was the captain of the basketball team and was awarded â€Å"Colours†. I learned to cope under pressure and improved my leadership decision-making skills. I enjoy hiking mountaineering. I have hiked up to the base camp of Nanga Parbat- the worlds 7th highest peak- and won first prize. 3. Clinical Audit: What experience of clinical audit do you have? Please state clearly where and when this was undertaken and indicate specifically your role. (250 words) â€Å"Evaluation of Glaucoma Management Services† M Amjad, R Job, S Walker. 01/02/2009 at Leighton Hospital. I initiated the study and formulated the pro-forma and collected data, which was presented in the Divisional Audit Meeting. I made recommendations to improve the system. I then re-audited to complete the cycle of the audit.. My material was later presented as poster at the Royal College of GP Annual Congress Nov 2009. A pilot Glaucoma care pathway was initiated from my recommendations., and Glaucoma Medisoft was installed to document and print clinic letters instantly. Improved documentation was made available for the GP ‘Management of Eyelid CA M. Amjad, S Raja. 01/09/2008 at Blackpool Victoria Hospital. Once again, I initiated the literature research, formulated a pro-forma, collected data, and analysed it. I presented this in the departmental audit meeting. â€Å"An Audit of Ophthalmology Emergencies presenting in AE† M Amjad, W Khan. 30/03/2007 at Blackpool Victoria Hospital. I researched the literature, formulated a pro-forma, collected, and analysed data. My conclusions were presented in the Divisional Audit meeting. â€Å"Management of Corneal Abrasion in AE† M Amjad, W Khan. 01/04/2007 at Blackpool Victoria Hospital. Again, I researched literature, formulated the pro-forma, collected, and analysed data, all for a presentation in the Divisional Audit meeting. Guidelines from Kings College Hospital have now been taken up inn the AE department. Management of Gastro-oesophageal CA six years audit† M Amjad, MU Javed. 01/03/2007 at Blackpool Victoria Hospital. I researched literature, formulated a pro-forma, collected, and analysed data. A presentation was made at the North West Regional Meeting for Upper-GI Carcinoma. â€Å"Major Limb Amputation, Environmental Study† M. Amjad, MU Javed, G Riding. 01/06/2007 at Blackpool Victoria Hospital. I designed pro-forma, reviewed literature, collected and analysed data for a presentation in the Divisional Audit Meeting. 2. Managing Teams: Please provide evidence of leadership skills, managing and/or working in teams. You may give examples from both inside and outside medicine. (250 words) I was elected as a Sports Coordinator at Medical College in my final year, which was a great honour and position of responsibility. In order to make this successful, I needed a good team and representatives from each year, whom I appointed. Working through the team and using my leadership skills, I was able to make significant changes. I reformed the Sports Society and devised its rules and regulations. For the first time since its foundation, I arranged fixtures with other universities and introduced new sports. I took on board ideas from team members and organized sponsors and a concert to generate funds. Our efforts improved the colleges sports reputation. This was because of the good management, delegation of responsibilities to team members and proper use of the recourses generated. I also captained the basketball team and was awarded â€Å"Colours.† This experience not only improved my team working and leadership skills, but also improved my ability to perform under pressure and make clear decisions. 5.Teaching Experience: What experience do you have of delivering teaching? (250 words) I have attended the â€Å"How to Teach Course†, in order to learn new teaching skills and develope a methodology. I have been regularly organizing and coordinating a full day study course for junior trainee doctors and GPs on â€Å"ECG interpretation† â€Å"Pain Management† ‘Eye and ENT day since 2008. The feedbacks has been excellent and the courses are very popular. I regularly delivered formal lectures to foundation and AE doctors on the use of slit lamp and management of acute eye problems. The feedback has always been good and higher than that given to my peers. I organized formal teaching and mock OSCE for final year Manchester medical students. In addition, I regularly present and attend the weekly regional teaching to keep up-to-date with advances within the specialty. My written feedbacks from the sessions have been very encouraging. I enjoy teaching and endeavour to continue it. 6. Research: Please provide evidence of research whether past or in progress. If you have undertaken or are undertaking a research project, please give details and indicate your involvement. (250 words) I worked as a junior Research Fellow Gastroenterology under Prof M Umer in Holy Family Hospital. I was involved in two projects, both presented as poster and also published â€Å" CHRONIC HEPATITIS-C RESPONSE TO ANTI-VIRAL COMBINATION THERAPY† A prospective study of 200 patients. The objective was to study the response of chronic hepatitis-C patients to combination antiviral therapy. I reviewed the literature, collected and analyzed data using SPSS. The results showed that combination therapy with interferon and ribavirin for CAH-C helps to treat the disease as well as to improve the symptoms of the patients. â€Å"SYMPTOMATOLOGY OF CHRONIC HEPATITIS-C† A case control study involving 1000 patients. The purpose was to study the common symptoms in patients with Chronic Hepatitis-C. I formulated the pro-forma, collected data and analyzed using SPSS. This was my first experience in research. Moreover, it was presented internationally. It gave me a lot of confidence and motivation. I learned the skills needed to search the literature, design a research project and to statistically analyze the results. It also improved my communication and presentation skills. Recently I was involved in two small studies and presented them as poster in RCO annual congresses. They are â€Å" The Impact of GDX in the management of new glaucoma referrals† and â€Å"Post-operative ocular complications after acoustic neuroma surgery† 7. Additional Achievements: Please note any prizes, awards and other distinctions (include specialty and qualifying distinction) which you may have. Please indicate undergraduate or postgraduate award, the awarding body and date awarded. (250 words) Grade A+ in MBBS Examinations, Rawalpindi Medical College, Jun 2005 Distinction in Ophthalmology (MBBS Exams), Rawalpindi Medical College, Apr 2004 Distinction in Forensic Medicines Toxicology (MBBS Exams), Rawalpindi Medical College, Jan 2001 Awarded Gold Medals for best in academics, Education Board, Jan 2000 Won Merit Scholarship for 5 years, Education Board, Jan 1999 8. Presentations: In this section please provide details of your most relevant presentations at local level (state whether departmental, hospital or trust). Please give a statement about your personal contribution to the work. (250 words) I have initiated these projects and presented the using PowerPoint at different meetings. Morbidity and mortality meeting. Presented in divisional meeting. 2009 â€Å"Negative dysphotopsia: Long-term study and possible explanation for transient symptoms.† Oral presentation in Journal Club, Leighton Hospital 2008. â€Å"Management of Eyelid CA† M. Amjad, S Raja Presented in departmental audit meeting in Sept 2008 â€Å"Major Limb Amputation, Environmental Study† M. Amjad, MU Javed, G Riding Presented in departmental audit meeting in Jun 2007 â€Å"An Audit of Ophthalmology Emergencies presenting in AE† M Amjad, W Khan Presented in departmental audit meeting in Apr 2007 â€Å"Management of Corneal Abrasion in [emailprotected] Amjad, W Khan Presented in trust annual review meeting in Mar 2007 â€Å"Management of Gastro-oesophageal CA six years audit† M Amjad, MU Javed Feb 2007 9. Presentations: In this section please provide details of your most relevant presentations at regional and/or national level. Please give a statement about your personal contribution to the work. (250 words) I have initiated, written and presented the following work. â€Å"Patient with previously undiagnosed Autoimmune Hypophysistis (AH) presenting with bilateral recurrent cystoid macular oedema secondary to Intermediate uveitis.† M. Amjad, A Sachdev, V Kotamarhi Submitted for Poster presentation at Royal College Ophthlmology Annual Congress, 2010. â€Å"Post operative complications affecting eyes after acoustic neuroma surgery.† A. Garrick, M. Amjad, I Marsh, C Noonan. Submitted for Poster presentation at Royal College Ophthalmology Annual Congress, 2010. â€Å"Restructuring and Innovating the Glaucoma Services. Role of Primary and Tertiary Care.† M. Amjad, R Job, A Asghar, S Walker. Poster presentation at Royal College of GP Annual National Conference, Glasgow, 2009. â€Å"The impact of GDX in the management of new glaucoma referral.† M. Amjad, R Job, S Walker Poster presentation at North of England Ophthalmology Society, Allensford UK, June 2009. â€Å"Patients perspective of new Intra-vitreal Anti-VEGF treatment† V. Kotamarthi, M. Amjad Poster presentation at Royal College Ophthalmology Annual Congress, Birmingham 2009. â€Å"Chiari malformation with the symptom of photopsiae as the only ocular symptom and no ocular signs.† M. Amjad, V. Kotamarthi Poster presentation at The 10th Congress of International Ocular Inflammation Society, Prague. May 2009 â€Å"Value of Ultrasound in detecting pathology in vitreous haemorrhage.† T. El-kashab, M. Amjad Oral presentation The 10th Congress of International Ocular Inflammation Society, Prague. May 2009 â€Å"A Case of Idiopathic Sclerochoroidal Calcification associated with Primary Open Angle Glaucoma.† M. Amjad, T. El-kashab, R Job, A Needham Poster presentation at The 10th Congress of International Ocular Inflammation Society, Prague. May 2009 Communication and interpersonal skills: Please give a recent example that demonstrates that you possess these skills. (150 words max) A 59 year old gentleman was referred over the weekend with a six month history of left temporal ache. All the examinations and bloods were normal, except for a disc swelling on his left side. I informed my consultant and devised a plan. Then, I liaised with the ENT and on call radiologist to review the patient. I kept the patient and his partner informed about all the progress throughout this time. After arranging an urgent scan, which showed a mass compressing his orbit, I arranged for the admission and booked theatre for removal of the mass compressing orbit. As the focal point of communication between concerned groups, I enabled us to work as a large team, efficiently and effectively, to save the patients eye from future complications. My ability to communicate and delegate facilitated the effective success of a multi-disciplinary team approach to patient care. Initiative: Please give a recent example that demonstrates initiative. (150 words max) In October 2008, I attended a busy eye camp in Pakistan. During my stay, I was astonished to find that operations are cancelled on-table by the surgeons due to high IOP. Only high risk patients were having their IOP checked due to high patient turnover. This resulted in a huge waste of resources. After discussion with the management, I took the initiative to provide a solution to this problem. After research and discussions with senior doctors visiting the camp, I proposed to use a puff tonometer to check IOP of all patients undergoing surgery. This method doesnt require extraordinary skill to use, hence it is effective in a busy camp. This proposal was accepted by the supervisors. It had been a great success with surgical cancellations dropping by more than 95%. I received a letter of thanks. Making such a difference in patient care makes me proud. PAPER 2 Describe how you realised that you wanted to become an Ophthalmologist? [Edit] My inspiration for becoming an ophthalmologist stemmed from working in DARUL-HIKMAT DARUL-SHIFA, a charity eye hospital in Pakistan, which I have attended biannually since my first year in medical school. There I observed how a small procedure brings a remarkable improvement in the quality of a patients life. Out of interest, I undertook 2 ophthalmology electives and I was privileged in observing practice on an incredible elective at MOORFIELDS EYE HOSPITAL. It was a great experience and further motivated me to become ophthalmologist. Achieving a Distinction in Ophthalmology during my MBBS, I joined Rawalians Research Forum during my final year in medical school, where I published two research papers. Since then I have been actively involved in audits and clinical studies. I have presented 14 papers in international and national conferences. In addition, I have several published articles in many journals. Most notably during the Haematology, I was involved in ‘randomized control trials. As a Foundation year doctor, I regularly attended eye clinics and theatres in my free time. I did a week of a TASTER SESSION and managed to arrange a SPECIAL MODULE in ophthalmology during GP rotation. I have excellent hand to eye coordination and dexterity. I am competent in Objective Subjective Refraction. In my recent job I have done 53 Phacoemulsifications,6 Squint Surgeries, 23 IV injections, and 64 argon YAG laser procedures. The combination of medicine and surgery, the variety of cerebral and fine motor skills necessary has drawn me to the specialty. It is the only specialty that has satisfied me at the highest level. Sight for many is the most valued of senses and to be in a position to improve and restore eyesight, and prevent eye disease gives me great pleasure. I am dedicated, hardworking, and energetic person. In addition, I have passed RCO exams and my experience in ENT, neurosurgery, diabetics and oncology will make me a great candidate. What do you think are the main issues in solving global blindness by 2020? [Edit] Approximately 314 million people worldwide live with low vision and blindness. 90% of these blind people live in low-income countries. 80% of blindness is avoidable. Without effective, major intervention, the number of blind people worldwide has been projected to increase to 76 million by 2020. The major causes of blindness in the world are cataract (50%), refractive errors (15-30%), Trachoma, Onchocerciasis, Glaucoma, Diabetic Retinopathy, Age Related macular degeneration. According to WHO, restorations of sight and blindness prevention strategies are among the most cost-effective and gratifying interventions in health care. In 1999, WHO launched VISION 2020 The Right to Sight. It is a joint programme of the World Health Organization (WHO) and the International Agency for the Prevention of Blindness (IAPB) with an international membership of NGOs, professional associations, eye care institutions and corporations. It aims for control of avoidable blindness by 2020; to achieve the aim the following issues need to be addressed. HR development: adequate and purposeful training of all eye care personnel is a key factor. Apart from ophthalmologists, the ophthalmic nurse, ophthalmic medical assistants and especially refractionsists should be recruited and trained appropriately. Infrastructure Equipments development: facilities should be equipped according to the tasks. Local entrerpreaunership should be encouraged to participate to reduce cost and enhance sustainability. Awareness Education of local community: community participation is vital and this can be achieved by creating awareness in the public about the diseases and the facilities available to treat and prevent them. Funding: regular and new funding sources should be explored. Outside medicine, what personal attributes make you a good candidate for a career in Ophthalmology? [Edit] I possess combination of qualities through which I have not only achieved over and above the required competencies mentioned in the RCOphth curriculum for ST1 and F2 but also a good working relationship with the colleagues to prove as a good and successful ophthalmologist. I maintain good rapport with patients. During my foundation training, I had experience of caring for terminally ill patients, breaking bad news and discussing the patients care and resuscitation status with their family, which I was able to do in an empathetic and sensitive manner. I am actively involved in audits, and publications to maintain good medical practice alongside the tough demands of clinical work. This requires refinement of my time management and organizational skills. I believe in sharing the skills and experiences, which I do by not only involving myself in teaching but also in charity and voluntary work. I possess qualities of a good team leader and an effective team player, which I have gained thr ough my clinical and non-clinical experiences. I prioritize work and this helps me in coping when working under pressure. I am making most of the opportunities to gain experience and refine my personal skills and will do my best to become a good ophthalmologist. Injuries in Sports and Exercise | Case Studies Injuries in Sports and Exercise | Case Studies PDG. Understanding Injury in Sport and Exercise Settings Self-Selected Case Studies Introduction In this case study we shall consider three athletes who are superficially similar and have presented with injuries as a result of their sport. The athletes will be referred to as Mr.A, Mr. B and Mr. C. Each is in their twenties and are club standard runners. Mr.A fell during a training run and sustained an inversion injury to his left ankle. Mr. B presented with a pre-patella bursitis of his right knee and Mr. C could not compete because of severe metatarsalgia. Mechanism and pathophysiology of injury If we consider the aetiology and mechanisms of each injury we can see that although they are largely sports related and, to a degree sports specific, each is fundamentally different in terms of presentation, cause, treatment and outcome. Let us consider Mr. A. who fell during training. He was a modest club runner who ran sporadically for personal enjoyment. He sustained an acute inversion injury which resulted in a partial tear of the lateral malleolar ligament. This ligament effectively joins the Tibia to the talus and calcareous and is largely responsible for the lateral stability of the joint. (Clemente C D 1975). There was immediate pain and subcutaneous swelling and, although he could weight bear immediately after the injury, Mr.A could only walk with great pain. Lateral distortion of the joint was extremely painful. The fundamental aetiology of the injury was a sudden inversion stress to the ankle which was greater than the ligament could withstand and this resulted in rupture of some of the collagen fibres of the lateral ligament together with the underlying joint capsule. This allowed substantial bleeding to track into the surrounding tissues which, together with both extravasation of synovial fluid and accum ulation of tissue oedema, led to the clinically apparent swelling over the lateral malleolus. Mr. B, by contrast, was a fiercely competitive sub-elite runner who noticed his injury developing more slowly over a period of about ten days. He was preparing for a race and had increased his running schedule both in intensity and distance covered. Initially he was aware of a discomfort in the anterior aspect of his knee which felt superficial. This was apparent at the end of his training sessions and persisted for a few hours while travelling home. As the training sessions intensified, the pain grew more persistent until it occurred throughout his running session. Although it was a nuisance, it was not severe. By the end of ten days it had become very severe to the point that there was demonstrable swelling over the lower pole of the patella which was tender to the touch and constantly painful. The mechanism of this injury is typical of the overuse injury seen with overtraining. It is believed to arise initially from micro tears within the body of the patella ligament which become inflamed and the constant stresses involved with training do not let the injury heal sufficiently and the inflammation becomes accumulative to the point that histology would show inflammatory changes occurring throughout the ligament and this, in turn, causes friction on the surrounding structures. (Hewett T E et al. 1999) This is manifest as a constant progressively painful swelling localised in the region of the patella ligament and is aggravated by movement of the knee joint. It is tender to the touch and limits exercise. Mr. C was a club runner of modest ability, but with an over optimistic appreciation of his own ability, who trained with the elite runners at the club. He frequently complained of minor injuries that were blamed for his particular lack of performance in races. On this occasion he presented with pains in his forefoot over the metatarsal heads which was very specific and occurred when the toes were flexed but not when they were extended (an unphysiological finding). He could run, but complained bitterly of forefoot pain after the race and could be seen hobbling off the track and around the changing rooms after the race. Examination of his foot was completely unremarkable and no consistent physical abnormality could be found. It was noticeable that Mr. C vociferously blamed this problem for his inability to perform well. No physical diagnosis was made but the aetiology of his complaint was thought to be a psychosomatic manifestation of his anxiety relating to his inability to beat the b etter runners at the club. This equated to a mechanism of cognitive distortion and denial together with a compensatory conversion symptom complex to rationalise his poor performance. (Patel D R et al. 2000) In short we see three competitive runners with common presentations of injury, but three very different mechanisms of pathophysiology and aetiology. Each will require a different approach to treatment and will follow a very different illness trajectory. Psychology of sports injury There are a number of different theoretical concepts (with differing degrees of security of evidence base) that can be usefully employed in describing sporting motivation and are therefore relevant to the incidence of sporting injury. (Wigfield A et al. 2000) The literature on these subjects is very extensive and beyond the scope of this essay to consider in any degree of detail. Reversal theory (Apter M J 2001) is commonly utilised in this regard and can describe relationships between the personality characteristics and motivational stimuli. Paratelic dominant athletes commonly enter the paratelic motivational state and are typically arousal seekers and engage in high risk and highly competitive sports (viz Mr. B )(Cogan N A et al. 1998) Mr.A, by contrast is the typical telic dominant athlete who tend to be arousal avoiders, who plan and consider their training carefully and prefer low intensity experiences. (Kerr J H et al. 1999) Let us start this consideration of the psychology of sports injury with an assessment of Mr. C who presents with a primarily psychological complaint Mr. C has an overtly psychosomatic presentation. This can be conveniently described in terms of reversal theory (Apter M J 2001). and the paratelic concept (Murgatroyd S et al. 1978). There are aspects of the metamotivational states described in the theory which are relevant to Mr. C’s perception of his motives for continued participation in running even when he was clearly failing to achieve his set targets. If appears that Mr. C has developed a variation of a paratelic protective framework with somatic constructs. He needs the high arousal gratification of the paratelic dominant athlete by lining up on the starting line with the elite athletes, but has developed his idiosyncratic phenomenological frame as a coping mechanism which allows him a sensation of safety from his perception of failure with a series of somatic excuses for his failure to perform. (Kerr J H 2001) One psychological technique that has been demonstrated to work in this type of case is a form of cognitive behaviour therapy which allows a realisation of the implications of an action to be re-evaluated by the client. (Fowler D et al. 1995) This was combined with a strategy of the setting of â€Å"step-by-step† short term goals. This effectively allowed the client to consider his need to unrealistically compare himself with the elite athletes and to allow him to achieve progressive attainable targets, thereby recognising and capitalising on achievement rather than ruminating on poor past performance comparisons with other (better) athletes. (Pain M et al. 2004). The idea is that by setting and achieving some short term goals, the client can focus on the present, make small progressive steps, and recognise new achievements, instead of ruminating on past performance level. (Hall H K et al. 2001). Complicity by the clinician in agreeing that his symptoms may actually be physical can be completely counterproductive in this type of case (see on) Injury management The object of management of any injury is clearly to maximise the degree of recovery possible and to limit and residual disability that may occur as a result of the injury. In broad terms we can consider the immediate (first aid) treatment and the subsequent longer term management as separate issues. (Hergenroeder A C 2003) In the case of Mr.A’s acute injury the essential elements of treatment (once the diagnosis has been confidently made) should be to prevent further tissue damage and bleeding by immobilisation of the joint (splinting), prompt cooling to reduce the tissue reaction to the injury, analgesia to relieve the pain (but with the caveat that pain relief should not be an indication to stress the joint) and pressure to minimise blood and tissue fluid accumulation. The longer term considerations should be that weight bearing should be kept to a minimum for about 7-10 days. Mobilisation should then begin in a graded fashion over about four to six weeks. Running on flat surfaces could realistically begin (possibly with an ankle support) after that time. Mobilisation (both active and passive) is necessary to ensure that the fibroblastic activity of the ligament repair mechanism does not restrict movement of the joint to the degree that the long term restriction of movement becomes a problem. (Orchard J 2003) Mr.A would be well advised to avoid running on uneven surfaces for a period of many months and to undertake a course of physiotherapy involving modalities such as wobble board training to improve his proprioceptive capabilities. (Lephart S M et al. 1997) Because of the injury, Mr.A should always regard himself as more prone to get a recurrence if he were to have another fall. Mr. B should be treated in a distinctly different way. There is no â€Å"acute† first aid treatment as such, as the critical factor here is to recognise that the injury is the result of overuse of a joint. Rest, or in some cases simply a reduction in the training schedule, is often all that is needed to allow the condition to resolve. (Krivickas L S 1997) There is some evidence to suggest that the use of NSAIAs may help to reduce the inflammatory reaction and thereby increase the speed of recovery but their use must be undertaken with caution because of the propensity of runners to consider that the analgesic properties of the NSAIA group can be equated with evidence of suppression of the pathophysiology of the lesion, and therefore they can start to increase their training schedule thinking that the inflammation has settled because the knee is pain free. (Nickander R et al. 2005) Some clinicians would recommend the use of steroid injections in the paratendon tissues. It has to be noted that this is contentious because of the risk of tendon damage if the steroid is injected into the wrong area. Mr. C requires no immediate physical treatment. Indeed on an intuitive basis, physical treatment could be considered counterproductive as it could be viewed as reinforcing his aberrant adaptive and compensatory mechanisms by colluding in the physical nature of his pathology. By entrenching his position, the clinician could be actually aggravating the problem. Once confidently diagnosed, Mr. C should be promptly referred to a competent sports psychologist for treatment along the lines that we have outlined above. Lecture to club The first serious examination of sports injuries as a specific entity was carried out by William Haddon in 1962 (Haddon W et al. 1962). The growth in interest since then has been exponential. In terms of general observation about sports related injuries we can observe that it is generally accepted that one of the common predictive factors for an injury is a history of previous injury. (Watson A W 2001) ( Lee A J et al. 2001) Various studies have reported increased odds ranging from 1.6 to 9.4. (Chalmers D J 2002). In order to accommodate this information it is clearly important to know the other risk factors involved The practical problem is that in order to assemble a coherent evidence base on this issue it is vital to have well designed and robust trials to consider. In short, there are very few of these. (Parkkari J et al. 2001). A critical analysis of the literature on the subject reveals that there is a surprising paucity of evidence for any significant preventative measure for sports injury. Part of the reason for this is that if there is anecdotal evidence that a procedure reduces the risk of injury then it is likely that a substantial proportion of participants will already be using it. This makes double blind trials almost impossible. Van Mechelen ran a trial of the prophylactic value of warming up and down only to find that over 90% of participants were using the technique already. (van Mechelen et al. 1993) It is clearly of dubious ethical possibility, quite apart from a practical possibility to get a control group of athletes not to warm up just to see if they are more likely to get injured. The management of sports injuries is therefore largely a combination of intuition based on anatomical and physiological principles, guided by experience and validated by what scientific evidence base there is on the subject. The three case studies presented above have all occurred in similar status club runners for completely different reasons. This therefore exemplifies the need to undertake a holistic assessment of each case in order to be in a position to make a confident and accurate diagnosis. One should note that there are occasions when the injury or the pathology is blindingly obvious, but it is more common to have to undertake further investigations in order to firmly establish the diagnosis. Mr.A might require X-Rays to exclude a chip fracture of his lateral malleolus. Mr. B might require some blood tests to exclude a connective tissue disorder and Mr. C may need further assessment in order to be confident that there is no genuine physical pathology. References Apter M J. (2001). Motivational styles in everyday life: a guide to reversal theory.  Washington: American Psychological Association, 2001. Chalmers D J (2002). Injury prevention in sport: not yet part of the game? Inj. Prev., Dec 2002 ; 8 : 22 25. Clemente C D. (19750. Anatomy: A Regional Atlas of the Human Body.  Philadelphia, PA: Lea Febiger; 1975 (Figure 180). Cogan N A, Brown R I F. (1998). Metamotivational dominance, states and injuries in risk and safe sports. Pers Individ Dif 1998 ;10 :789–800. Fowler D, P A Garety, L Kuipers (1995). Cognitive Behaviour Therapy for Psychosis: Theory and Practice. London : Wiley 1995 Haddon W, Ellison A E, Carroll R E. (1962). 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Sports injuries related to flexibility, posture, acceleration, clinical defects, and previous injury, in high-level players of contact sports. Int J Sports Med 2001 ; 22 : 222–5 Wigfield A, JS Eccles (2000). Expectancy -value theory of achievement motivation. Contemporary Educational Psychology, 2000 ############################################################## PDG